US Air Force Research Laboratory, 711th HPW/RHPA, Building 824 Room 206, 2800 Q St, Wright-Patterson AFB, OH 45433-7947, USA.
Am J Public Health. 2010 Jan;100(1):90-9. doi: 10.2105/AJPH.2008.155432.
We investigated relations between deployment and new-onset depression among US service members recently deployed to the wars in Iraq and Afghanistan.
We included 40 219 Millennium Cohort Study participants who completed baseline and follow-up questionnaires and met inclusion criteria. Participants were identified with depression if they met the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire criteria for depression at follow-up, but not at baseline.
Deployed men and women with combat exposures had the highest onset of depression, followed by those not deployed and those deployed without combat exposures. Combat-deployed men and women were at increased risk for new-onset depression compared with nondeployed men and women (men: adjusted odds ratio [AOR]=1.32; 95% confidence interval [CI]=1.13, 1.54; women: AOR=2.13; 95% CI=1.70, 2.65). Conversely, deployment without combat exposures led to decreased risk for new-onset depression compared with those who did not deploy (men: AOR=0.66; 95% CI=0.53, 0.83; women: AOR=0.65; 95% CI=0.47, 0.89).
Deployment with combat exposures is a risk factor for new-onset depression among US service members. Post-deployment screening may be beneficial for US service members exposed to combat.
我们调查了最近部署到伊拉克和阿富汗战争中的美国军人部署与新发抑郁之间的关系。
我们纳入了 40219 名千禧年队列研究参与者，他们完成了基线和随访问卷，并符合纳入标准。如果参与者在随访时符合初级保健评估精神障碍患者健康问卷的抑郁标准，但在基线时不符合，则被确定为患有抑郁。
有战斗经历的部署男女发生抑郁的风险最高，其次是未部署的男女，再次是无战斗经历部署的男女。与未部署的男女相比，战斗部署的男女新发抑郁的风险增加（男性：调整后的优势比[OR]=1.32；95%置信区间[CI]=1.13，1.54；女性：OR=2.13；95%CI=1.70，2.65）。相反，与未部署的男女相比，无战斗经历的部署导致新发抑郁的风险降低（男性：OR=0.66；95%CI=0.53，0.83；女性：OR=0.65；95%CI=0.47，0.89）。
战斗部署是美国军人新发抑郁的一个风险因素。部署后筛查可能对接触过战斗的美国军人有益。
